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General NPI Number Information
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NPI Number | 1659427912
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Entity Type | Individual
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Provider Name | JOHN GEORGE APOSTOLIDES M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/26/2007
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Last Update Date | 07/01/2013
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Provider Practice Location Address
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Address Line | 1322 SCOTT ST SUITE 102
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City | SAN DIEGO
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State | CA
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Zip | 92106-2747
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Country | US
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Telephone | 619-222-3339
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Fax | 619-223-3339
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Provider Business Mailing Address
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Address Line | 3368 TRUMBULL ST
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City | SAN DIEGO
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State | CA
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Zip | 92106-2423
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Country | US
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Telephone | 310-871-9448
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | A111220
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License Number State | CA
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